resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
November, 2001, Vol. 01, Issue 11
By Cliff Korn, BS, LMT, NCTMB
Did you look forward to going to work today? Were you attentive as you made up your table for your first client? Were you genuinely pleased to see that client come through the door? How about at the end of the day - were you just as pleased to see your last client of the day enter your place of business?
My guess is that if you're in your first year of practice, you answered, "yes" to all of these questions.If you're in your fifth year, it is probably less likely that your "yes" was quite as enthusiastic. If you've been practicing 10, 15 or 20 or more years, you might have to pause and think before answering. The premise I am using in all my following observations is that maintaining excitement and freshness in our practice is in our own best interest and the best interest of our clients.
Certainly a number of factors influence your specific responses to these questions. One factor is the body mechanics of the practitioner. I doubt you would look forward to caring for one more client if your own body was in pain from poor body mechanics. Another factor might be client load. More clients per day than your stamina can allow tends to lessen your ability to appropriately focus on additional clients. Likewise, too few clients may mean too much time on your hands, causing boredom.
I'm writing about the topic of excitement because I have observed a subtle change in the massage therapists I have encountered in the past month. The one thing that has changed seems to be the higher stress level of the typical client, the result no doubt of current world situations. In the week following September 11th, I noticed that massage therapists fell into two major groupings. The first had to force themselves to go to work. They preferred to stay in the apparent security of their homes, and they didn't want to see their clients or hear their clients' "petty" complaints of neck/back/shoulder discomfort when people were desperately wandering New York City with pictures of lost family members. The second group couldn't wait to get to work. They looked forward to spending time in an environment where they knew they could effectively participate in something. I'm not making value judgments about either group, as each was just responding to their own coping mechanisms and skills. Certainly if either of the coping methods were to continue, it would be problematic. The first group's practices would quickly dwindle because of lack of interest. The second group's practices also would likely diminish, because the therapeutic relationship would change to benefit the therapist instead of the client. As you know, clients don't like that much!
The higher client stress levels seem to have encouraged the therapists I know to reinvigorate themselves to help others cope. Hopefully this will reignite the fire of excitement these therapists have for their practices.
If the premise is that maintaining excitement and freshness in our practice is in the best interests of both our clients and ourselves, it behooves us to consider more of the things that aid that process. With job excitement, you believe that your work will be satisfying in the long run; you care about the quality of your work; and you are more committed to the therapist/client relationship and the profession as a whole.
An internet web search brings up much (and frequently conflicting) information on job excitement and satisfaction. However, there are many constants in this information that are directly attributable to a career in massage therapy. The "essence" of job satisfaction is to:
I certainly get all of these in my clinical practice! I can't imagine a massage setting that doesn't allow for all three of these items to occur regularly. Job satisfaction is not synonymous with complacency, but with enthusiasm! With enthusiasm, you can tackle each Monday morning with drive and ambition. Enthusiasm also minimizes the negatives that are always present in varying degrees. With enthusiasm, even negatives can be turned into opportunities for satisfaction. As an emotion, negative is stronger than positive: dissatisfaction seems to be more motivating than satisfaction. In our practices, this is manifested by our clients' reacting more visibly and immediately (e.g., booking appointments) to pain and/or dysfunction than to a pleasant stimulus.
Another "truism" of job satisfaction is that most workers like their work more if there is little minute-by-minute supervision of tasks. Massage therapy, in a treatment room environment, provides the practitioner such autonomy.
Our work has frequently been termed "intuitive." To a large extent, I think the better therapists among us have honed their intuitive skills to a high degree. However, I think that much of our job satisfaction is related to education. Education gives us the confidence to proceed to our full capacities, and enables us to expand our abilities. It makes it possible to become even more excited about our work. I don't know about you, but the more I learn, the more intuitive I become!
Some textbook-like issues that are particularly applicable to our profession infer that job excitement benefits from:
Right now, America needs us to be at the top of our game. It needs us to be looking forward to Monday morning. The tensions and stresses inherent in war, threats of war, invisible enemies and the unknown, make our unique skills more important now than they have ever been in the past. The strides that the industry had made in the past decades to educate consumers is now paying off as worried individuals seek out our services and abilities.
I'd love to hear how you keep your excitement level up. Please share your thoughts with others in our "We Get Letters & Email" section. And I hope every one of us can honestly answer "yes" to each of my opening paragraph questions!
Massage Today encourages letters to the editor to discuss matters relating to the publication's content. Letters may be published in a future issue of Massage Today. Please send all correspondence by e-mail to , or by regular mail to the address listed below:
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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